{"id":8619,"date":"2025-02-13T17:51:00","date_gmt":"2025-02-13T15:51:00","guid":{"rendered":"https:\/\/thorax.gr\/el\/?p=8619"},"modified":"2025-02-13T17:51:00","modified_gmt":"2025-02-13T15:51:00","slug":"%ce%b1%ce%bd%cf%85%cf%88%cf%89%cf%83%ce%b7-%ce%b7%ce%bc%ce%b9%ce%b4%ce%b9%ce%b1%cf%86%cf%81%ce%b1%ce%b3%ce%bc%ce%b1%cf%84%ce%bf%cf%83-%ce%b1%ce%b9%cf%84%ce%b9%ce%b5%cf%83-%cf%83%cf%85%ce%bc%cf%80","status":"publish","type":"post","link":"https:\/\/thorax.gr\/tr\/%ce%b1%ce%bd%cf%85%cf%88%cf%89%cf%83%ce%b7-%ce%b7%ce%bc%ce%b9%ce%b4%ce%b9%ce%b1%cf%86%cf%81%ce%b1%ce%b3%ce%bc%ce%b1%cf%84%ce%bf%cf%83-%ce%b1%ce%b9%cf%84%ce%b9%ce%b5%cf%83-%cf%83%cf%85%ce%bc%cf%80\/","title":{"rendered":"HEM\u0130D\u0130AFRAGMAN Y\u00dcKSELMES\u0130: NEDENLER\u0130, BEL\u0130RT\u0130LER\u0130 VE TEDAV\u0130 SE\u00c7ENEKLER\u0130"},"content":{"rendered":"
\n
Hemidiyafragmatik y\u00fckselme, solunumda rol oynayan ve g\u00f6\u011f\u00fcs bo\u015flu\u011funu kar\u0131ndan ay\u0131ran ana kas olan diyafram\u0131n g\u00f6\u011f\u00fcs kafesinin yan taraflar\u0131na do\u011fru y\u00fckselmesi durumudur. Bu durum solunum fonksiyonlar\u0131n\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde etkileyebilir ve nedene ve ciddiyetine ba\u011fl\u0131 olarak \u00e7e\u015fitli semptomlara ve solunum g\u00fc\u00e7l\u00fc\u011f\u00fcne yol a\u00e7abilir. Hemidiyafragmatik y\u00fckselme s\u0131kl\u0131kla akci\u011fer, g\u00f6\u011f\u00fcs veya diyafram\u0131 kontrol eden sinirlerin (frenik sinir gibi) hastal\u0131klar\u0131yla ili\u015fkilidir.<\/p>\n

Hemidiyafragmatik Y\u00fckselmenin Nedenleri Nelerdir?<\/h3>\n

Yar\u0131 diyafram\u0131n y\u00fckselmesi g\u00f6\u011f\u00fcs kafesinde daralmaya neden olarak akci\u011ferlerin tam havalanmas\u0131n\u0131 engeller. Bu durum do\u011fu\u015ftan olabilece\u011fi gibi sonradan da ortaya \u00e7\u0131kabilen bir rahats\u0131zl\u0131kt\u0131r. Y\u00fckselmenin etkileri, \u015fiddete ba\u011fl\u0131 olarak hafif nefes darl\u0131\u011f\u0131ndan, \u015fiddetli vakalarda kronik solunum yetmezli\u011fine kadar de\u011fi\u015fmektedir.<\/p>\n

Hemidiyafram Y\u00fckselmesinin Nedenleri<\/h3>\n

Hemipleji nedenleri aras\u0131nda \u015funlar olabilir:<\/p>\n

    \n
  • Frenik Sinir Hasar\u0131<\/strong>: Frenik sinirin hasar g\u00f6rmesi veya felci, etkilenen taraftaki diyafram\u0131n normal i\u015flevini kaybetmesine neden olarak h\u0131\u00e7k\u0131r\u0131\u011fa neden olabilir.<\/li>\n
  • Cerrahi \u0130\u015flemler<\/strong>: G\u00f6\u011f\u00fcs veya kalp cerrahisi sonras\u0131 diyafram ge\u00e7ici veya kal\u0131c\u0131 doku veya sinir hasar\u0131na ba\u011fl\u0131 olarak y\u00fckselebilir.<\/li>\n
  • Pn\u00f6motoraks veya Plevral Ef\u00fczyon<\/strong>:Akci\u011ferlerin etraf\u0131nda hava veya s\u0131v\u0131 birikti\u011fi durumlarda olu\u015fan bas\u0131n\u00e7 diyafram\u0131n y\u00fckselmesine neden olabilir.<\/li>\n
  • G\u00f6\u011f\u00fcs T\u00fcm\u00f6rleri veya \u0130yi Huylu T\u00fcm\u00f6rleri<\/strong>:T\u00fcm\u00f6rlerin diyaframa yapt\u0131\u011f\u0131 bas\u0131n\u00e7, y\u00fckselmeye ve yayg\u0131n torasik ekinokokkozis gibi t\u00fcm\u00f6re benzeyen b\u00fcy\u00fck kistler gibi nadir g\u00f6r\u00fclen hastal\u0131klara da yol a\u00e7abilir.<\/li>\n<\/ul>\n

    Hemidiyafragmatik Y\u00fckselmenin Belirtileri<\/h3>\n

    Hemiparezi ile ili\u015fkili semptomlar \u015funlard\u0131r:<\/p>\n

      \n
    • Nefes darl\u0131\u011f\u0131 ve nefes almada zorluk<\/strong>:Diyafram hareketinin s\u0131n\u0131rl\u0131 olmas\u0131, \u00f6zellikle egzersiz s\u0131ras\u0131nda veya ayakkab\u0131 ba\u011fc\u0131klar\u0131m\u0131z\u0131 ba\u011flamak i\u00e7in e\u011filme gibi basit hareketler s\u0131ras\u0131nda bile kronik nefes darl\u0131\u011f\u0131na neden olabilir.<\/li>\n
    • T\u00fckenmi\u015flik<\/strong>:V\u00fccut yeterli oksijen alamad\u0131\u011f\u0131 i\u00e7in nefes almada zorluk, yorgunluk ortaya \u00e7\u0131kabilir.<\/li>\n
    • G\u00f6\u011f\u00fcs veya S\u0131rt A\u011fr\u0131s\u0131<\/strong>: G\u00f6\u011f\u00fcs kafesinin yap\u0131s\u0131nda meydana gelen bas\u0131n\u00e7 ve de\u011fi\u015fiklikler a\u011fr\u0131ya veya rahats\u0131zl\u0131\u011fa neden olabilir.<\/li>\n
    • Azalm\u0131\u015f Solunum Fonksiyonu<\/strong>: Daha ciddi vakalarda y\u00fckseklik akci\u011fer fonksiyonlar\u0131n\u0131 etkileyebilir ve solunum yetmezli\u011fine yol a\u00e7abilir.<\/li>\n<\/ul>\n

      Hemidiyafragmatik Y\u00fckselmenin Tan\u0131s\u0131<\/h3>\n

      Hemiparezi tan\u0131s\u0131 klinik muayene ve bir dizi g\u00f6r\u00fcnt\u00fcleme testini i\u00e7erir:<\/p>\n

        \n
      • G\u00f6\u011f\u00fcs r\u00f6ntgeni<\/strong>: Genellikle diyafram\u0131n pozisyonunu ortaya koyar ve y\u00fcksekli\u011fin belirlenmesine yard\u0131mc\u0131 olur.<\/li>\n
      • Ultrason veya BT taramas\u0131\u00a0tomografi<\/b><\/strong>: Diyafram b\u00f6lgesinin detayl\u0131 g\u00f6r\u00fcnt\u00fclenmesini sa\u011flar ve g\u00f6\u011f\u00fcste t\u00fcm\u00f6r veya s\u0131v\u0131 gibi herhangi bir bas\u0131n\u00e7 nedenini tespit edebilir.<\/li>\n
      • Elektromiyografi<\/strong>: Frenik sinir ve diyafram\u0131n fonksiyonunu de\u011ferlendirmek i\u00e7in kullan\u0131l\u0131r.<\/li>\n
      • Radyografi:\u00a0<\/strong>Do\u011frudan floroskopi alt\u0131nda, yar\u0131 diyafram\u0131n fonksiyonunun fonksiyonel kontrol\u00fc yap\u0131l\u0131r ve ayr\u0131ca\u00a0"paradoksal hareketlilik"\u00a0<\/strong>Yar\u0131 diyafram\u0131n, yani nefes alma s\u0131ras\u0131nda anormal hareketi.<\/li>\n<\/ul>\n

        Tedavi Se\u00e7enekleri<\/h3>\n

        \u015eiddetli hemiparezisi olan ve \u015fiddetli semptomlar ya\u015fayan hastalarda cerrahi tedavi \u00e7o\u011fu zaman en iyi \u00e7\u00f6z\u00fcmd\u00fcr. Modern cerrahi teknikleri, a\u015fa\u011f\u0131dakiler gibi yenilik\u00e7i yakla\u015f\u0131mlar\u0131 i\u00e7erir:\u00a0robotik diyafram katlama<\/strong>\u00a0(Robotik Hemidiyafram Plikasyonu) g\u00fcvenli ve hassas bir cerrahiye olanak sa\u011flayan, komplikasyon riskini azaltan ve solunum fonksiyonlar\u0131n\u0131n daha iyi geri kazan\u0131lmas\u0131n\u0131 sa\u011flayan bir y\u00f6ntemdir.<\/p>\n

        \u00c7\u00f6z\u00fcm<\/h3>\n

        Yar\u0131 septum y\u00fcksekli\u011fi \u00f6zellikle nefes alma zorlu\u011funa yol a\u00e7t\u0131\u011f\u0131nda ya\u015fam kalitesini \u00f6nemli \u00f6l\u00e7\u00fcde etkileyebilen bir durumdur. Uygun tedavinin se\u00e7ilmesi ve solunum fonksiyonlar\u0131n\u0131n iyile\u015ftirilmesi i\u00e7in erken tan\u0131 ve g\u00f6\u011f\u00fcs cerrahisi konusunda uzmanla\u015fm\u0131\u015f bir hekimle i\u015fbirli\u011fi yap\u0131lmas\u0131 \u00e7ok \u00f6nemlidir. Robotik cerrahi gibi modern teknikler, en ciddi vakalar\u0131n g\u00fcvenli ve etkili tedavisi i\u00e7in m\u00fckemmel olanaklar sunmaktad\u0131r.<\/p><\/div>\n<\/div>\n

        <\/div>\n
        \n
        \n
        Doktor.\u00a0Michalis Klimatsidas<\/b>\u00a0 T\u0131p Doktoru, Y\u00fcksek Lisans, Doktora, FRCS<\/div>\n
        <\/div>\n
        G\u00f6\u011f\u00fcs Cerrah\u0131<\/i><\/div>\n
        \u00a0<\/i><\/div>\n
        Minimal invaziv torakoskopik ve robotik g\u00f6\u011f\u00fcs cerrahisi<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"

        Hemidiyafragmatik y\u00fckselme, solunumda rol oynayan ve g\u00f6\u011f\u00fcs bo\u015flu\u011funu kar\u0131ndan ay\u0131ran ana kas olan diyafram\u0131n g\u00f6\u011f\u00fcs kafesinin yan taraflar\u0131na do\u011fru y\u00fckselmesi durumudur. Bu durum solunum fonksiyonlar\u0131n\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde etkileyebilir ve nedene ve ciddiyetine ba\u011fl\u0131 olarak \u00e7e\u015fitli semptomlara ve solunum g\u00fc\u00e7l\u00fc\u011f\u00fcne yol a\u00e7abilir. Hemidiyafragmatik y\u00fckselme s\u0131kl\u0131kla akci\u011fer, g\u00f6\u011f\u00fcs veya diyafram\u0131 kontrol eden sinirlerin (frenik sinir gibi) hastal\u0131klar\u0131yla ili\u015fkilidir. Hemidiyafragmatik Y\u00fckselmenin Nedenleri Nelerdir? Yar\u0131 diyafram\u0131n y\u00fckselmesi g\u00f6\u011f\u00fcste k\u0131s\u0131tlamaya neden olur ve akci\u011ferlerin tam havalanmas\u0131n\u0131 engeller [\u2026]<\/p>","protected":false},"author":12,"featured_media":8618,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[210],"tags":[445,461,446,447,448,237,411,462],"class_list":["post-8619","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-210","tag-445","tag-461","tag-446","tag-447","tag-448","tag-237","tag-411","tag-462"],"_links":{"self":[{"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/posts\/8619","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/comments?post=8619"}],"version-history":[{"count":1,"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/posts\/8619\/revisions"}],"predecessor-version":[{"id":8620,"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/posts\/8619\/revisions\/8620"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/media\/8618"}],"wp:attachment":[{"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/media?parent=8619"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/categories?post=8619"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/tags?post=8619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}